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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198000062
Report Date: 03/16/2021
Date Signed: 03/16/2021 05:37:47 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/15/2020 and conducted by Evaluator Reiko Jones
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20201215120558
FACILITY NAME:YMCA GLB WEINGART-LAKEWOOD YMCA SITEFACILITY NUMBER:
198000062
ADMINISTRATOR:CHANELLE COLLOFACILITY TYPE:
840
ADDRESS:5835 E. CARSON ST.TELEPHONE:
(562) 425-7431
CITY:LAKEWOODSTATE: CAZIP CODE:
90713
CAPACITY:60CENSUS: 10DATE:
03/16/2021
UNANNOUNCEDTIME BEGAN:
03:12 PM
MET WITH:Jessica Quintero; Program CoordinatorTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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9
Uncleared adult
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Reiko Jones-Modeste conducted an unannounced complaint investigation to deliver findings for the allegations above via TELE_INSPECTION using FACETIME due to SOE. LPA met with Program Coordinator; Jessica Quintero, who guided LPA on a tour of the facility. LPA observed 10 children in care including two Teaching Assistants. During the course of this investigation LPA observed children during snack time, restroom break and class instruction(distance learning).

During confidential interview S6 confirmed all adult staff have criminal clearance to work in the facility. S6 also provided Department of Justice confirmations for several staff members. In addition, C3 and C4 confirmed during confidential interview the alleged does not work in the facility. No declarations were made during confidential interviews with parents. In addition, LPA observed school-aged children in care physically distanced in the classroom. LPA also observed the YMCA Executive offices adjacent to the facility with at least two barricaded doors as well as closed-circuit cameras. LPA did not observe the alleged in the children's facility.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Reiko JonesTELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 54-CC-20201215120558
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: YMCA GLB WEINGART-LAKEWOOD YMCA SITE
FACILITY NUMBER: 198000062
VISIT DATE: 03/16/2021
NARRATIVE
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Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview was conducted with Program Coordinator; Jessica Quintero. Appeal Rights were provided and discussed.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Reiko JonesTELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2